Individual
JESSE J TALALOTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2800 N VANCOUVER AVE, 230, PORTLAND, OR 97227-1630
(503) 413-4340
Mailing address
709 SW 16TH AVE, 403, PORTLAND, OR 97205-1831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO169132
OR
Other
Enumeration date
04/14/2011
Last updated
08/16/2023
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